CMS recently announced a new model it will be using to pilot the use of artificial intelligence and machine learning in reviewing prior authorizations submitted for certain services CMS has identified as being at greater risk of fraud, waste, or abuse, which includes electrical nerve stimulators, knee arthroscopy for osteoarthritic knees, and skin and tissue substitutes (where existing LCDs apply). The new Wasteful and Inappropriate Service Reduction (WISeR) Model is sch
CMS Unveils New Prior Authorization “WISeR Model” for Electrical Nerve Stimulators, Skin and Tissue Substitutes and Knee Arthroscopy
